Namju Kim Shin, AGNP-C in La Palma, CA - Medicare Nurse Practitioner

Namju Kim Shin, AGNP-C is a medicare enrolled "Nurse Practitioner - Adult Health" in La Palma, California. Her current practice location is 5471 La Palma Ave Ste 105, La Palma, California. You can reach out to her office (for appointments etc.) via phone at (714) 695-2388.

Namju Kim Shin is licensed to practice in California (license number 18570) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1326377292.

Contact Information

	Namju Kim Shin, AGNP-C
	5471 La Palma Ave Ste 105, La Palma, CA 90623-1773
	(714) 695-2388
	(714) 695-2391

Map and Direction

Provider's Profile

Full Name	Namju Kim Shin
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	5471 La Palma Ave Ste 105, La Palma, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326377292
Provider Enumeration Date: 12/23/2009
Last Update Date: 06/27/2024

Medicare PECOS Information:

PECOS PAC ID: 3375850449
Enrollment ID: I20150922002407

Medical Identifiers

Medical identifiers for Namju Kim Shin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326377292	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	18570 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Namju Kim Shin allows following entities to bill medicare on her behalf.

Entity Name	Garden Grove Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972781458 PECOS PAC ID: 1456514264 Enrollment ID: O20120515000096

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Namju Kim Shin is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Namju Kim Shin, AGNP-C 5471 La Palma Ave Ste 105, La Palma, CA 90623-1773 Ph: (714) 695-2388	Namju Kim Shin, AGNP-C 5471 La Palma Ave Ste 105, La Palma, CA 90623-1773 Ph: (714) 695-2388

Reviews and Comments

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Namju Kim Shin, AGNP-C - Medicare Nurse Practitioner in La Palma, CA